Finite Element Analysis of Fracture Fixation.


Journal

Current osteoporosis reports
ISSN: 1544-2241
Titre abrégé: Curr Osteoporos Rep
Pays: United States
ID NLM: 101176492

Informations de publication

Date de publication:
08 2021
Historique:
accepted: 22 05 2021
pubmed: 30 6 2021
medline: 12 2 2022
entrez: 29 6 2021
Statut: ppublish

Résumé

Fracture fixation aims to provide stability and promote healing, but remains challenging in unstable and osteoporotic fractures with increased risk of construct failure and nonunion. The first part of this article reviews the clinical motivation behind finite element analysis of fracture fixation, its strengths and weaknesses, how models are developed and validated, and how outputs are typically interpreted. The second part reviews recent modeling studies of the femur and proximal humerus, areas with particular relevance to fragility fractures. There is some consensus in the literature around how certain modeling aspects are pragmatically formulated, including bone and implant geometries, meshing, material properties, interactions, and loads and boundary conditions. Studies most often focus on predicted implant stress, bone strain surrounding screws, or interfragmentary displacements. However, most models are not rigorously validated. With refined modeling methods, improved validation efforts, and large-scale systematic analyses, finite element analysis is poised to advance the understanding of fracture fixation failure, enable optimization of implant designs, and improve surgical guidance.

Identifiants

pubmed: 34185266
doi: 10.1007/s11914-021-00690-y
pii: 10.1007/s11914-021-00690-y
pmc: PMC8422380
mid: NIHMS1724714
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

403-416

Subventions

Organisme : NIBIB NIH HHS
ID : R01 EB029207
Pays : United States
Organisme : AO Foundation
ID : AR 2018/01
Organisme : NIBIB NIH HHS
ID : 1R01EB029207-01
Pays : United States

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Gregory S Lewis (GS)

Department of Orthopaedics and Rehabilitation, Pennsylvania State University, Hershey, PA, USA. greglewis@psu.edu.

Dominic Mischler (D)

AO Research Institute Davos, Davos, Switzerland.

Hwabok Wee (H)

Department of Orthopaedics and Rehabilitation, Pennsylvania State University, Hershey, PA, USA.

J Spence Reid (JS)

Department of Orthopaedics and Rehabilitation, Pennsylvania State University, Hershey, PA, USA.

Peter Varga (P)

AO Research Institute Davos, Davos, Switzerland.

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